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CO0054399 (2)
Environmental Health - Public
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1600 - Food Program
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CO0054399 (2)
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Last modified
3/21/2022 1:32:42 PM
Creation date
3/21/2022 1:30:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0054399
PE
1600
FACILITY_ID
FA0014754
STREET_NUMBER
420
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06206010
ENTERED_DATE
10/26/2021 12:00:00 AM
SITE_LOCATION
420 E KETTLEMAN LN STE 2
RECEIVED_DATE
10/26/2021 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
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EHD - Public
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Complaint Investigation Summary <br /> Report #: 5105 <br />COMPLAINT ID: C00054399 Site Location: 420 E KETTLEMAN LN STE 2 <br />Received by: EE0007380 SHIH <br /> Received Date: 10/26/2021 <br /> Complaint Received Via: PHONE <br />Assigned To: EE0001084 RAMIREZ <br /> Assigned Date: 10/26/2021 <br />Program/Element Code 1600- FOOD PROGRAM <br />Nature of complaint: <br />MOLD & ROACH INFESTATION AT THIS FACILITY. BETWEEN SUBWAY AND THIS FACILITY. <br />PROPERTY INFORMATION <br />Facility: FA0014754 - CHINA KING BUFFET <br />Site Location 420 E KETTLEMAN LN STE 2 <br /> District 004 - WINN, CHARLES <br />LODI, CA 95240 <br /> Location Code 02 - LODI <br />Cross Street CHEROKEE <br /> APN 06206010 <br />Complaint Status: <br />Date Abated / Abated By vt1 <br />Activity Summary <br />Activity Date Recorded by <br />11/03/2021 Complaint inspection. No major violation, 1 minor. Report emailed to AFONSKAIA <br />wenyanchen6789@yahoo.com. Called complainant and told them about the <br />observations made during the inspection. Let them know that I will be doing a <br />re-inspection for the routine. <br />5105.rpt <br /> <br />Page 1 of 1
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